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Today, it is more important than ever that the EU, which now includes not only former Soviet satellites but countries that were part of the USSR, should create a strategic policy framework.
This paper discusses a strategic policy framework, which was designed by the United Nations Economic Commission for Europe (UNECE) to address those important needs in international policy.
WHO defines leadership and governance as the existence of a strategic policy framework as well as effective oversight, coalition building, regulation, attention to system design, and accountability [ 6].
The World Health Organization, in its strategic policy framework for HTC, recommends the promotion of services through community-based options and innovation to reach beyond facilities [9].
The WHO definition of leadership and governance is the existence of a strategic policy framework as well as effective oversight, coalition building, regulation, attention to system design, and accountability [ 6].
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Here, governance was proposed as "ensuring that strategic policy frameworks exist and are combined with effective oversight, coalition building, regulation, attention to system-design and accountability".
According to WHO [ 16] stewardship involves ensuring strategic policy frameworks exist and are combined with effective oversight, coalition building, regulation, attention to system-design and accountability.
Leadership and governance component is concerned about ensuring that strategic policy frameworks exist and are combined with effective oversight, building of partnerships and application of appropriate regulations for policy and decision-making.
We use the WHO (2007) definition of governance which is " ensuring strategic policy frameworks exist and are combined with effective oversight, coalition-building, the provision of appropriate regulations and incentives, attention to system-design, and accountability"[ 20].
Although no readily available indicators exist for the leadership and governance component of health systems, it is a crucial element for ensuring that appropriate strategic policy frameworks exist for the pursuit of the UHC vision and are combined with effective and accountable building of partnerships.
Based on the above discussion, the focus of the present paper is on the development of a strategic policy scenario analysis framework, supporting an integrated planning approach of peripheral small island regions, with particular emphasis on alternative tourist development paths, which can be used as a 'vehicle' so as sustainability objectives to be reached.
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